HomeMy WebLinkAboutB-2017-1593CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1593
970 CANDLEWOOD DR CUPERTINO, CA 95014-4653 (369 19 016) M & S ROOFING
SAN JOSE, CA 95123
OWNER'S NAME: VINJAMURY MATHUR AND CHERLA VANI
OWNER'S PHONE: 408-230-7128
LICENSED CONTRACTOR'S DECLARATION
License Class CC=39 Lic. #8012 8
Contractor M & S ROOFING Date 11/30/2017
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
1. I have and will maintain a certificate of consent to self -insure for Worker's
pIompensation, as provided for by Section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued.
have and will maintain Worker's Compensation Insurance, as provided for by
�-y�is Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
representatives of this city to enter upon the above mentioned property for
inspection purposes. '(We) agree to save indemnify and keep harmless the
City•of Cupertino against liabilities, judgments, costs, and expenses which
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
source regulations per
the Cupertino Municipal Code, Section 9.18.
Signature r 1��t Date 09-18-2017
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
1. 1, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended onoffered for
sale (Sec.7044, Business, & Professions Code)
2. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
1. I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor CodeJ,or'the
performance of the work for which this permit is issued.
2. I' have and will maintaimWorker's Compensation Insurance, as provided 'for by
Section 3700 of the Labor Code, for the performance ofthe work'for which this
permit is issued.
3. I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the
Worker's Compensation laws of California. If, after making this certificate of
exemption, I become subject to the Worker's Compensation provisions of the
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws
relating to building construction, and hereby authorize representatives of this city
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and,keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses'which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with,all'non-point source regulations per the Cupertino Municipal
Code, Section 9.18.
DATE ISSUED: 09/18/2017
PHONE NO: (408) 314-0870
BUILDING PERMIT INFO:
BLDG —ELECT —PLUMB
MECH X RESIDENTIAL COMMERCIAL
JOB DESCRIPTION:
RE -ROOF; TEAR -OFF; COMP SHINGLES - (23 SQ)
Sq. Ft Floor Area: I Valuation: $13000.00
APN Number: Occupancy Type:
369 19 016
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Kim Dunbar
Date: 09/18/2017
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, 1 agree to remove all new materials for
/ ,j inspection.
Signature ofApplic .." , I,
Date: 09-18-2017
ALL ROOF COVERINGS TO BE CLASS "A;' OR BETTER
HAZARDOUS MATERIAL'S DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533;; tnd 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I storew handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area'Air Qualtty,Management District I
will maintain compliance with the Cupertino Municiptif6de,iChapter 9.12 and
the Health & Safety Code, Sections 25505,r25533, and125534.
Owner or authorized agent.- ^-
1,
Date: 09-18-2017 ?'
CONSTRUCTION LENIN E •Y�.
I hereby affirm that there is a construction lending agencyfor the performance
of work's for which this permit is issued (Sec. 3097, Civ iG!)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
Date 09-18-2017 Professio
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
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10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 -B
(408) 777-3228 • building@cupertino.org PEMIT #B - ZD C S��
C1. PERTINO REV # DEF #
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PROJECT ADDRESS 9,40FAf�W0
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IASINGLE-FAMILY/DUPLEX= ❑MULTI-FAWILY ❑ INDUSTRIAL ❑ COMMERCIAL
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USE
TYPE
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VALUATION ($)
EXISTING USE
EXISTING SF
NEW FLOOR SF
PORCH
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DEMO SF
STORIES #
TOTAL NET SF
REMODEL
REMODEL KITCHEN
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'BATHROOM SF
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❑ DETACHED
FIR6ISPRINKLERS El NO
EICHLER'-.O' NOS
SECOND STORY ADDIITON [I YES
❑ NO
DWELLING SECOND DWELLING❑ ygg ❑ ATTACHED [IDETACHED OTHER
UNITS # UNITADDrr&4: ' ❑ NO SF
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POOLS ❑ FIBERGLASS I❑ VINYL -LINED ❑' GUNITE ❑ PREFABRICATED
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POOL -'SF SPA - SF'. � - i , SPA ATTACHED ❑ YES ❑ NO. 'TOTAL - SF
REC D Y:
TOTAL VALUATION:
Cmnmercial or Multi -Family Buildir kg ivith Public Sudm inA Pools requires Department of Environmmtal Heath approval
I I : P
RE -ROOF
EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ASPHALT SHINGLES ❑ WOOD SHAKES ❑
WO SHINGLES ❑ TILE OTHER (SPECIFY)
REMOVE /REPLACE.[] NO
- IF NO
PLYWOOD ❑'� ❑ 3/8" PLYWOOD
TYPE:
P1TCHi
RO LASS
yES
I # OF LAYERS
THICKNESS ❑ 5/8" OTHER
❑ OSB ❑ CDX OTHER
--—12
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES El OTHER
*Provide a signed copy of the:Cupertino's Tear -Off Policy SF d"� #of SQUARES
by my signature below l'ce'rdfy to each of the following: I am the property owner or !authorized agent to act on the'property owner's behalf.' I
have read this applicatioh and the information I have provided is correct. I have read' the Description of Work and verify it is accurate. I agree
to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to
enter the above -identified property for inspection purposes. I acknowledge and authorize all information contained on this application form
to be made available for; public record.
Signature of Applicant/Agent: Date: -
SUPPLEMENTAL INFORMATION REQUIRED
*New SFD/Second Dwelling Units/Mu1#ifamily Dwellings: A Demolition permit is required prior to issuance of a building permit for all new construction.
*Commercial Buildings: 'Provide a'completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project.
*Copy of Planning Approval Letter •or Meeting; with Planning prior to submittal of Building Permit application.
*HOA -Provide a letter of approval from the Home Owner's Association
B1dgApp_2017.doe revised 08101/17
1
COMMUNITY DEVELOPMENT DEPARTMENT * BUILDING DIVISION
ALBERT SALVADOR, P.E,, C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(409) 777-3228 - FAX (408) 777-3333 - building(cbcupeffiMno.o
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PROJECT ADDRESS APN it -3 U_ q
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OWNER KMAE
PHONE
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CITY, STATE. ZIP
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CONTRAC"FORNAMF
LICENISE NUMBER
LICENSE TYPE
BUS. LIC. 0
071
COMPANN NAMIEA
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E-MAIL
FAX
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STREET ADDRESS
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I UNDERSTAND AND AGREE TG 'I FOLLONVING:
I . The re -roof project shall comply with all applicable prov,WPOLs of the 2016 California Codes.
2. An inspection request can be scheduled un. to one _business dav b.efore.th&.reaue.stedinsl2ectio,-ti.,date.
QN1on-Thurs 0 2?'0pm(Friday-)to
'roschedule inspeo.tions call (4 &) 777-3228 from 1:30 3-:36 ' I: )or7-.),o .3
. ** , pm, %.
schedule inspectioji. For Tear -Off and Nailing Inspections. you -must also call on'the,day of the
inspection. onto after'that phase of the work is completed.- * The building. inspector will be out to the
job site writhin one lour. The hours for this service are: 7:30-10:30am and 1.2:.30? -3:30 (Mon-Thurs).
and 7:30-1.0-30am and 1.2:30-2:30 (;Friday). Final Inspections will be given tido hour window.
3. Tear -off Inspection is required. Any and all dry -rotted wood shall be replaced, prior to this inspection.
Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either
completely knocked -down or riemoved prior to this inspection.,
4. If plywood is installed, a plywood Nailing Inspection is recLqiredI.
-
5. Roofing shall not be applied without first obtaining all -prior- inspection and written -approvals from the
building inspector.,. Any roofing which is applied without first obtaining an approypd'inspection will
require the removal' of all new material down to the sheathing so a proper inspecti.6ii can be performed.
6. AFinal luspectionand..al2iirov.alshall beobtainedfrom -.ilie:btiildi.ng i sp ctor' In e when the re -roofing is
completed. To rec'. eive a final sign -off, the following hems, wil"! be - verified:
a. Flat roofs, shall have a ininimuni of 'W' per foot of slope and demonstrate' there is no ponding.
b. Listings from approved testing agencies for all. pre -manufactured products used shall be
available on-site to review at the time of the inspection.
c. Proper spark arrestor installation, vents painted, gager/downspouts ins.talled, debris .removed.
7. NOTE: If you call for a tear -off or plywood nailing inspection and the work, is
charged a re -inspection. fee. The re -inspection fee shalt be vaid before anoth(
scheduled.
By nny signing below, I certify each of the following is true: lai.ii-tli.eproperty owii.eTc)r�
Property owner's behalf. I understand and agree to comply with the re -roof policy stated ;
.sinoke detectors and carbon monoxide detectors are rewired to beinstalled in accordance
th'd, 201.6 California Residential Code.
of
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Dat
-
!'complete, you will be
ist)ection can be
went to act on the
Ial
1� so understand that
atoms R' 14 and R3 l 5 of
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SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(@cupertino.org
PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE .,HAS BEEN
COMPLETED, SIGNED. AND RETURNED TO THE BUILDING DIVISION
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2016 CRC Section R314, R315, 2016 CBC Sections 420.6 and 907.2.11.2 where no interior access
for inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000 00, CRC Section R314, R315, and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or
Carbon Monoxide Alarms be installed in the following locations
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s) - (Smoke alarms shall not be located within 3 feet of bathroom door)
X
X
On every level of a dwelling unit including basements and habitable attics
X
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CSC Sections 907.2.114 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms specified below have been tested and are operational, as of the
date signed below
Address. 9-7,0 Permit No.
Specify Number of Alarms. # Smoke Alarms I 7 i 7 # Carbon Monoxide Detectors.
I have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agent's) Name:
Si nature . --..:. �. . �� .l.6.ZR$ale; .......
Contractor Name:
Si nature Lic.# Date:
Smoke and CO forni.doc revised 01/1012017